I hereby authorize Changemaker Legal and its directors and officers to verify and make copies of any information provided in this application in the course of determining eligibility for the program. I hereby release any person or entity complying with this authorization from any claims relating to the disclosure of any such information and documents. A copy of this authorization shall be as valid as the original.
By signing below, I certify that the information provided in this application is true and accurate to the best of my knowledge. I understand that participation in this program may involve regular communication and cooperation with Changemaker Legal, including approximately four to eight hours per month of program participation.
